Exocrine pancreatic insufficiency following bariatric surgery: unveiling alternative aetiology—case report and short review

Bariatric surgery (BS) is currently the most effective treatment for severe obesity, requiring ongoing multidisciplinary follow-up to ensure proper progress and nutrition post-procedure. Despite its favourable safety profile, it is not exempt from complications, one of which being exocrine pancreati...

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Published inEuropean journal of clinical nutrition Vol. 77; no. 12; pp. 1173 - 1175
Main Authors Milad, Camila, Nunez-Pizarro, Jorge Luis, Ibarzábal, Ainitze, Claro, María, Leyes, Pere, Vaquero, Eva, Moizé, Violeta, Jiménez, Amanda, Molero, Xavier, de Hollanda, Ana
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 01.12.2023
Nature Publishing Group
Subjects
692/163/2743/393
692/700/2814
Bariatric Surgery - adverse effects
Case Report
Case reports
Causality
Clinical Nutrition
Epidemiology
Etiology
Exocrine Pancreatic Insufficiency - etiology
Gastrointestinal surgery
Humans
Internal Medicine
Literature reviews
Malnutrition
Medicine
Medicine & Public Health
Metabolic Diseases
Nutrients
Nutritional Status
Obesity
Pancreas
Public Health
Surgery
Online AccessGet full text
ISSN0954-3007
1476-5640
1476-5640
DOI10.1038/s41430-023-01338-z

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Abstract Bariatric surgery (BS) is currently the most effective treatment for severe obesity, requiring ongoing multidisciplinary follow-up to ensure proper progress and nutrition post-procedure. Despite its favourable safety profile, it is not exempt from complications, one of which being exocrine pancreatic insufficiency (EPI). The underlying pathophysiological mechanisms of EPI after BS are multifactorial, including poorly synchronized pancreatic enzyme secretion with the passage of nutrients (pancreaticocibal or postcibal asynchrony), insufficient pancreatic stimulation and bacterial overgrowth. We conducted a short literature review of the topic through a case of a patient who underwent BS in our centre and subsequently developed EPI and severe malnutrition. EPI initially was attributed to the surgery, but after a comprehensive evaluation, an unexpected cause was revealed.
AbstractList Bariatric surgery (BS) is currently the most effective treatment for severe obesity, requiring ongoing multidisciplinary follow-up to ensure proper progress and nutrition post-procedure. Despite its favourable safety profile, it is not exempt from complications, one of which being exocrine pancreatic insufficiency (EPI). The underlying pathophysiological mechanisms of EPI after BS are multifactorial, including poorly synchronized pancreatic enzyme secretion with the passage of nutrients (pancreaticocibal or postcibal asynchrony), insufficient pancreatic stimulation and bacterial overgrowth. We conducted a short literature review of the topic through a case of a patient who underwent BS in our centre and subsequently developed EPI and severe malnutrition. EPI initially was attributed to the surgery, but after a comprehensive evaluation, an unexpected cause was revealed.
Bariatric surgery (BS) is currently the most effective treatment for severe obesity, requiring ongoing multidisciplinary follow-up to ensure proper progress and nutrition post-procedure. Despite its favourable safety profile, it is not exempt from complications, one of which being exocrine pancreatic insufficiency (EPI). The underlying pathophysiological mechanisms of EPI after BS are multifactorial, including poorly synchronized pancreatic enzyme secretion with the passage of nutrients (pancreaticocibal or postcibal asynchrony), insufficient pancreatic stimulation and bacterial overgrowth. We conducted a short literature review of the topic through a case of a patient who underwent BS in our centre and subsequently developed EPI and severe malnutrition. EPI initially was attributed to the surgery, but after a comprehensive evaluation, an unexpected cause was revealed.Bariatric surgery (BS) is currently the most effective treatment for severe obesity, requiring ongoing multidisciplinary follow-up to ensure proper progress and nutrition post-procedure. Despite its favourable safety profile, it is not exempt from complications, one of which being exocrine pancreatic insufficiency (EPI). The underlying pathophysiological mechanisms of EPI after BS are multifactorial, including poorly synchronized pancreatic enzyme secretion with the passage of nutrients (pancreaticocibal or postcibal asynchrony), insufficient pancreatic stimulation and bacterial overgrowth. We conducted a short literature review of the topic through a case of a patient who underwent BS in our centre and subsequently developed EPI and severe malnutrition. EPI initially was attributed to the surgery, but after a comprehensive evaluation, an unexpected cause was revealed.
Author Vaquero, Eva
Molero, Xavier
Leyes, Pere
Nunez-Pizarro, Jorge Luis
Ibarzábal, Ainitze
Claro, María
Moizé, Violeta
Milad, Camila
de Hollanda, Ana
Jiménez, Amanda
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  orcidid: 0000-0001-9114-8614
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Cites_doi 10.1016/j.pan.2022.07.009
10.1097/MPA.0000000000000721
10.2147/CEG.S168266
10.1055/s-0042-1759881
10.1016/j.jcf.2023.01.008
10.1007/s00464-022-09388-3
10.1016/j.soard.2015.10.084
10.3390/nu9111241
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2023. The Author(s), under exclusive licence to Springer Nature Limited.
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692/700/2814
Bariatric Surgery - adverse effects
Case Report
Case reports
Causality
Clinical Nutrition
Epidemiology
Etiology
Exocrine Pancreatic Insufficiency - etiology
Gastrointestinal surgery
Humans
Internal Medicine
Literature reviews
Malnutrition
Medicine
Medicine & Public Health
Metabolic Diseases
Nutrients
Nutritional Status
Obesity
Pancreas
Public Health
Surgery
Title Exocrine pancreatic insufficiency following bariatric surgery: unveiling alternative aetiology—case report and short review
URI https://link.springer.com/article/10.1038/s41430-023-01338-z
https://www.ncbi.nlm.nih.gov/pubmed/37666959
https://www.proquest.com/docview/2895065925
https://www.proquest.com/docview/2861302483
Volume 77
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